| NPI | 1205210432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 15692) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305211701) |
| 225100000X Physical Therapist (Licence: GA 008782) | |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2024-09-23 |