| NPI | 1942944681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: VA 141290) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2305214322) | |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2022-08-26 |