| NPI | 1093422917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA CP026922T) |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2024-02-08 |