| NPI | 1285235119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 10453) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P19840) |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2021-03-24 |