| NPI | 1174243331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP014887T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR PT5191) |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2022-08-31 |