| NPI | 1477640241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 040-0003673) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2025-09-11 |