| NPI | 1942918958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD CP037270T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA02127800) |
| 225100000X Physical Therapist (Licence: VA 2305215495) | |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2024-11-25 |