| NPI | 1518628205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 047632) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 2995) |
| 225100000X Physical Therapist (Licence: VA 2305214006) | |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2022-01-04 |