| NPI | 1750002416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 29168) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305215325) |
| Enumeration Date | 2022-09-09 |
| Last Update Date | 2022-09-09 |