| NPI | 1013591767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP004559T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA 004388) |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2021-05-10 |