| NPI | 1144727041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP014311T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 26937) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2022-10-25 |