| NPI | 1528182300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 000-0002562) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 133V00000X Dietitian, Registered (Licence: VT 867109) | |
| 133N00000X Nutritionist | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2018-08-02 |