| NPI | 1407288020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305209361) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT022909) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2024-02-29 |