| NPI | 1174809305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305208491) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P13229) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2024-03-26 |