| NPI | 1780625137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P23536) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305005662) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2024-09-04 |