| NPI | 1285413807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 2658) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SD CP021876T) |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2023-09-22 |