| NPI | 1609161801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305206898) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2022-06-28 |