| NPI | 1134898679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WY 2102) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT37580) |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2021-09-08 |