| NPI | 1457964199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2305213618) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: VA 2305213618) |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2021-04-22 |