| NPI | 1285049544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports (Licence: MD 29394) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: TX 1209096) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2023-07-23 |