| NPI | 1396326872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305214949) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 407069) |
| 225100000X Physical Therapist (Licence: MD 28820) | |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2022-04-28 |