| NPI | 1295359891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 27909) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305213481) |
| Enumeration Date | 2020-05-31 |
| Last Update Date | 2023-11-27 |