| NPI | 1205406188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WY 2079) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 2494) |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2024-01-29 |