| NPI | 1720755150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305213567) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC CP032025T) |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2024-09-05 |