| NPI | 1427624386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VT 040.0079092) |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2021-06-18 |