| NPI | 1942237565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 5481) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 5901) |
| 225100000X Physical Therapist (Licence: FL pt21011) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2017-09-18 |