| NPI | 1851491914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305005462) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT-010620-L) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2024-10-21 |