| NPI | 1851074207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305216900) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: GA PT016770) | |
| Enumeration Date | 2023-08-11 |
| Last Update Date | 2025-01-17 |