| NPI | 1003317769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 4051) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 13279PT) |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2024-01-10 |