| NPI | 1295168359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305210080) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 9776) |
| 225100000X Physical Therapist (Licence: OH PT018258) | |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2019-08-05 |