| NPI | 1518584069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305213721) |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2021-04-05 |