| NPI | 1508437104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 28554) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT00001238) |
| 225100000X Physical Therapist (Licence: NJ 40QA02006800) | |
| Enumeration Date | 2021-07-05 |
| Last Update Date | 2023-03-28 |