| NPI | 1710347869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 32596) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305210036) |
| 225100000X Physical Therapist (Licence: DC PT871940) | |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2022-10-05 |