| NPI | 1033887765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P20473) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: SC 10807) |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2021-12-27 |