| NPI | 1467215947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2024004733) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA CP035656T) |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2024-11-27 |