| NPI | 1811391618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 038249) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305216352) |
| 225100000X Physical Therapist (Licence: AZ LPT-033455) | |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2024-08-28 |