| NPI | 1205395886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P19907) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05013276A) |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2022-08-19 |