| NPI | 1427605526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305213001) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 5184) |
| 225100000X Physical Therapist (Licence: MD 27723) | |
| 225100000X Physical Therapist (Licence: MA 24957) | |
| 225100000X Physical Therapist (Licence: LA 10656R) | |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2023-11-02 |