| NPI | 1154850998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P17180) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305211601) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2021-07-02 |