| NPI | 1013434760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305212728) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH8595) |
| 225100000X Physical Therapist (Licence: OK 5562) | |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2020-02-18 |