| NPI | 1417771643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 12786) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA CP037183T) |
| Enumeration Date | 2024-11-13 |
| Last Update Date | 2024-12-30 |