| NPI | 1063965895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 11571) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305210490) |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2023-06-28 |