| NPI | 1174198451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 5496) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT028742) |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2022-08-06 |