| NPI | 1174583520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305001637) |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand (Licence: VA 9209001478) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2020-09-16 |