| NPI | 1063027654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 30000) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH10137) |
| 225100000X Physical Therapist (Licence: MS PT7013) | |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2024-06-26 |