| NPI | 1164083622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI T190621003) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI PT-4888) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-10-25 |