| NPI | 1396022406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 26193) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT021761) |
| 225100000X Physical Therapist (Licence: NJ 40QA01519500) | |
| 225100000X Physical Therapist (Licence: DC PT871466) | |
| 225100000X Physical Therapist (Licence: VA 2305207199) | |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2024-12-03 |