| NPI | 1205328283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 28377) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305212029) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2023-12-14 |