| NPI | 1184850174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 9739) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305205362) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2024-11-19 |