| NPI | 1538568191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT872667) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 0378281) |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2021-04-28 |