| NPI | 1396419883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SD 2424) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 2536) |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2022-07-29 |