| NPI | 1427547306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305209085) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2018-05-06 |
| Last Update Date | 2025-02-13 |