| NPI | 1306689633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305216838) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P23673) |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2024-11-14 |