| NPI | 1487138491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305215349) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD 26963) |
| 225100000X Physical Therapist (Licence: DC PT872636) | |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2022-11-17 |