| NPI | 1629220157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 24403) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305204612) |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2022-07-22 |