| NPI | 1215435201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P17637) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 17637) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2020-07-27 |