| NPI | 1821051210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 3683) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 3325) |
| 225100000X Physical Therapist (Licence: VA 2305208560) | |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2022-08-10 |