| NPI | 1053944017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 4263) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 096285) |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2021-09-13 |