| NPI | 1245874247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 9676) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH CP032269T) |
| 225100000X Physical Therapist (Licence: NC CP029717T) | |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2024-07-02 |