| NPI | 1386202893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 9853) |
| Additional Taxonomies | 2251C2600X Physical Therapist, Cardiopulmonary |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2021-05-24 |