| NPI | 1629307285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305207265) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 23093) |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2022-12-20 |