| NPI | 1487804290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305205809) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 19799) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2022-03-07 |