| NPI | 1255841219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 119826) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 23080) |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2023-07-27 |