| NPI | 1952802258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305213357) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT293461) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2020-02-10 |