| NPI | 1134942394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP037149T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 16142) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2024-11-06 |
| Last Update Date | 2024-11-18 |