| NPI | 1992933089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 06947) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA CP000712T) |
| 225100000X Physical Therapist (Licence: VA CP001250T) | |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2020-02-20 |