| NPI | 1609609486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305216748) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2024-10-01 |