| NPI | 1154054419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: 61320032) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 63998) |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2022-07-05 |