| NPI | 1922546902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 28367) |
| 225100000X Physical Therapist (Licence: VA 2305210875) | |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2024-04-10 |