| NPI | 1124266705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 23067) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305205807) |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2024-12-23 |