| NPI | 1578989752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305216178) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 7300) |
| 225100000X Physical Therapist (Licence: PA 023253) | |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2024-03-08 |