| NPI | 1720579345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE CP032498T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 042510) |
| 225100000X Physical Therapist (Licence: VA 2305213505) | |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2024-07-31 |