| NPI | 1316313257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305209720) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2305209720) | |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2022-03-16 |