| NPI | 1619323037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT PTP-PT-LIC-17337) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305209705) |
| 225100000X Physical Therapist (Licence: PA PT024918) | |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2021-02-18 |