| NPI | 1609825116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305202691) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 9375) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2021-11-07 |