| NPI | 1568826006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH7922) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305211545) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2023-07-12 |