| NPI | 1861956997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305214962) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 18452) |
| 225100000X Physical Therapist (Licence: TX 1311009) | |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2023-11-09 |