| NPI | 1538603527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305210742) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT022921) |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2018-05-08 |