| NPI | 1144715277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305212960) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 26778) |
| Enumeration Date | 2018-07-01 |
| Last Update Date | 2022-12-26 |