| NPI | 1922438407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 5428) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0015649) |
| 225100000X Physical Therapist (Licence: NY 0276671) | |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2019-03-22 |