| NPI | 1346580016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305205230) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 31933) |
| Enumeration Date | 2013-02-18 |
| Last Update Date | 2018-09-28 |