| NPI | 1558338418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC 870098) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305202775) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2024-02-28 |