| NPI | 1861029258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP010037T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 27879) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2024-12-11 |