| NPI | 1093183139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 25708) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305209781) |
| Enumeration Date | 2015-09-07 |
| Last Update Date | 2024-08-07 |