| NPI | 1285383059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP010883T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV PT004470) |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2024-01-19 |