| NPI | 1023632726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 19090) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 9842) |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2023-11-10 |