| NPI | 1992164313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 25872) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305210048) |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2024-01-10 |