| NPI | 1689302051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305215159) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC CP027123T) |
| Enumeration Date | 2022-08-12 |
| Last Update Date | 2025-01-16 |