| NPI | 1093902777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305205881) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 21506) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2025-02-27 |