| NPI | 1437722246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305214522) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA PENDING) |
| 225100000X Physical Therapist (Licence: TN 13544) | |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2021-07-27 |