| NPI | 1669096806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 040.0134130) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: VT 040.0134130) |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-07-08 |