| NPI | 1164631107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305203917) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE CPO25492T) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2023-10-16 |