| NPI | 1306042452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305202724) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 20069) |
| 225100000X Physical Therapist (Licence: CA 29337) | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2021-08-23 |