| NPI | 1922409275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP018167T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 8379) |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2024-01-09 |