| NPI | 1932645298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305211829) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P15812) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2019-06-24 |