| NPI | 1821582404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP014759T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT012572) |
| 225100000X Physical Therapist (Licence: AL PTH8775) | |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2022-09-02 |