| NPI | 1942614680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305214844) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ PT40QA01632200) |
| 225100000X Physical Therapist (Licence: MD 27648) | |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2022-01-19 |