| NPI | 1013553221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12332) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P18902) |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2024-10-21 |