| NPI | 1679277347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305216340) |
| 225100000X Physical Therapist (Licence: TN 14744) | |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2024-10-07 |