| NPI | 1750944799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305211979) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 26990) |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2019-04-16 |