| NPI | 1588682421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305202900) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 3205202900) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2025-03-03 |