| NPI | 1538535810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 13251) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305209726) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2022-01-26 |