| NPI | 1295228567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 19268) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 62763) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2021-07-13 |