| NPI | 1396390100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P21201) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 9806) |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2022-11-17 |