| NPI | 1194210500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P19906) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 9165) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2024-12-10 |