| NPI | 1740848712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 27529) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305212756) |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2022-08-25 |