| NPI | 1477322998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305215954) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 29785) |
| Enumeration Date | 2023-12-26 |
| Last Update Date | 2023-12-26 |