| NPI | 1851029870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP025055T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P21509) |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2024-01-19 |