| NPI | 1053865451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P20571) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 11082) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2021-08-10 |