| NPI | 1467083469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 27846) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305212561) |
| 225100000X Physical Therapist (Licence: IL 070023055) | |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-01-28 |