| NPI | 1861457319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305002884) |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand (Licence: VA 2305002884) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2019-02-19 |