| NPI | 1932747797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305215204) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 295012) |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2023-01-11 |