| NPI | 1285389882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305215296) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2022-08-23 |