| NPI | 1992881817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IN 36001107A) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2015-11-23 |