| NPI | 1316543929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP032699T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 10488) |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2024-08-21 |