| NPI | 1558764944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305214188) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0013180) |
| 225100000X Physical Therapist (Licence: NY 0377671) | |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2024-03-12 |