| NPI | 1841549458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 4466) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305005569) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2019-03-04 |