| NPI | 1154925998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 28214) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305213556) |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2020-11-24 |