| NPI | 1427430479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P15613) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305209473) |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2023-10-23 |