| NPI | 1154049427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P22962) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 11503) |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2024-09-01 |