| NPI | 1215674056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT-5562-0) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NC p20314) |
| Enumeration Date | 2022-05-13 |
| Last Update Date | 2023-02-14 |