| NPI | 1205534658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH11204) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT26451) |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2023-02-15 |