| NPI | 1184994410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P-CP018638T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2019001333) |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2023-05-22 |