| NPI | 1043726839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 3751) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 1106349) |
| Enumeration Date | 2017-12-16 |
| Last Update Date | 2021-11-08 |