| NPI | 1851590202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 21779) |
| Additional Taxonomies | 374J00000X Doula |
| 225100000X Physical Therapist (Licence: DC PT870745) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2305213523) | |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2023-07-31 |