| NPI | 1891393617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 28142) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305213965) |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2023-01-17 |