| NPI | 1497180202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305212961) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT011130) |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2020-02-08 |