| NPI | 1619134798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305103001) |
| Enumeration Date | 2008-05-17 |
| Last Update Date | 2024-07-31 |