| NPI | 1053058594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC PT21229) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 11386) |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2022-09-16 |