| NPI | 1386374817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP021467T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 11340) |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2023-06-08 |