| NPI | 1194000596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305207640) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA CP035214T) |
| 225100000X Physical Therapist (Licence: DC PT871261) | |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2024-10-28 |