| NPI | 1780277483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305209493) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: VA 2305209493) |
| Enumeration Date | 2021-02-15 |
| Last Update Date | 2021-03-22 |