| NPI | 1861875981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305209500) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 25540) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2023-05-19 |