| NPI | 1013502814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305216042) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC p13692) |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2023-09-07 |