| NPI | 1598811903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305206145) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 22025) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2022-02-13 |