| NPI | 1124531223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305211361) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 26750) |
| Enumeration Date | 2017-11-10 |
| Last Update Date | 2020-04-15 |