| NPI | 1952785305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT870035) |
| Additional Taxonomies | 174400000X Specialist (Licence: DE J1-0002594) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2024-10-15 |