| NPI | 1376047852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P17625) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 6744) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2022-05-10 |