| NPI | 1720228471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305212315) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2023-11-07 |