| NPI | 1366919904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P20808) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT027351) |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2022-12-19 |