| NPI | 1154187979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH11357) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 14867) |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2024-02-28 |