| NPI | 1477768356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305203753) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV CP011516T) |
| 225100000X Physical Therapist (Licence: MD CP011622T) | |
| Enumeration Date | 2007-05-13 |
| Last Update Date | 2022-07-14 |