| NPI | 1467418343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251C2600X (Licence: VA 2305003203) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305003203) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2025-09-11 |