| NPI | 1235985516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305216416) |
| Enumeration Date | 2024-04-26 |
| Last Update Date | 2024-05-22 |