| NPI | 1457547143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 9874) |
| Additional Taxonomies | 286500000X Military Hospital (Licence: NC 9874) |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2023-10-05 |