| NPI | 1003262114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305208544) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 037107) |
| 225100000X Physical Therapist (Licence: PA PT023324) | |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2021-09-14 |