| NPI | 1821823311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305216716) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT42011) |
| Enumeration Date | 2024-09-04 |
| Last Update Date | 2024-09-10 |