| NPI | 1891770772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305006192) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT16537) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2023-12-20 |