| NPI | 1235788985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305213181) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2023-08-07 |