| NPI | 1083884498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305214303) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 296561) |
| 225100000X Physical Therapist (Licence: MD 22469) | |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2021-06-13 |