| NPI | 1962634022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P14840) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305206134) |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2022-06-06 |