| NPI | 1992137996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P17901) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305208121) |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2023-05-19 |