| NPI | 1457379737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305202690) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT013096L) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2022-06-06 |