| NPI | 1306617741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305216245) |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2024-03-13 |