| NPI | 1477254324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305215605) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P21952) |
| Enumeration Date | 2023-03-16 |
| Last Update Date | 2023-03-16 |