| NPI | 1831665827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP021795T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305210294) |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2023-05-25 |