| NPI | 1811181779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2305204093) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: VA 2305204093) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2024-04-01 |