| NPI | 1407334055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12677) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2018028576) |
| Enumeration Date | 2018-08-04 |
| Last Update Date | 2024-12-26 |