| NPI | 1477043982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P20337) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305211885) |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2024-02-12 |