| NPI | 1679909741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH8416) |
| 225100000X Physical Therapist (Licence: VA 2305208200) | |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2024-01-25 |