| NPI | 1518313139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 28748) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305208877) |
| 225100000X Physical Therapist (Licence: TX 1269613) | |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2021-12-03 |