| NPI | 1558985598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305214919) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 27891) |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2022-07-27 |