| NPI | 1326749300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT PTP-PT-LIC-27188) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MT PTP-PT-PRV-26052) |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2023-08-04 |