| NPI | 1033159504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305004580) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2307000019) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2023-07-07 |