| NPI | 1710670385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305207589) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 230700116) |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2023-05-31 |