| NPI | 1669055000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 0119008882) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2021-05-04 |