| NPI | 1568716355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305209233) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT022447) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2024-08-04 |