| NPI | 1881347722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 9893) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: SC 9893) |
| 225100000X Physical Therapist (Licence: GA 015008) | |
| 225100000X Physical Therapist (Licence: VA 2305212614) | |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2022-02-01 |