| NPI | 1902486210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 28389) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305213043) |
| Enumeration Date | 2021-04-11 |
| Last Update Date | 2021-04-17 |