| NPI | 1295466043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH CP022909T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WY 2177) |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2023-07-19 |