| NPI | 1265951081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P22641) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 9386) |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2023-09-28 |