| NPI | 1891819108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 9007) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305204518) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2024-01-11 |