| NPI | 1316374879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305208234) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 24731) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2019-08-21 |