| NPI | 1255908794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: VA 2305214282) |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2023-04-28 |