| NPI | 1588844096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP032318T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA 009899) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2024-12-07 |