| NPI | 1437449519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 038750-01) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1185628) |
| 225100000X Physical Therapist (Licence: VA 2305205213) | |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2022-02-08 |