| NPI | 1598574642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305206247) |
| Enumeration Date | 2025-01-03 |
| Last Update Date | 2025-01-09 |