| NPI | 1093324931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT7153) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 11803080-2401) |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2021-01-14 |