| NPI | 1457020059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA CP031518T) |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2024-06-17 |