| NPI | 1124395850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT022513) |
| Additional Taxonomies | 286500000X Military Hospital (Licence: MD 23875) |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2024-09-24 |