| NPI | 1982136149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305207938) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 14283) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2024-04-15 |