| NPI | 1265752893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2307001471) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 23191) |
| Enumeration Date | 2010-06-05 |
| Last Update Date | 2020-12-22 |