| NPI | 1740325281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305006331) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2021-05-12 |