| NPI | 1376199505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P21585) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05013519A) |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2022-08-29 |