| NPI | 1295076198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305213330) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 24399) |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2019-12-30 |