| NPI | 1366270381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305216495) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 12366) |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2024-07-22 |