| NPI | 1114616018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2306605146) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 029411) |
| Enumeration Date | 2023-05-05 |
| Last Update Date | 2023-05-05 |