| NPI | 1124702055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P22286) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC CP022391T) |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2023-06-12 |