| NPI | 1417400128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 230521197) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 31504) |
| 225100000X Physical Therapist (Licence: NJ 40QA01802400) | |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2022-08-16 |