| NPI | 1457027591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 28836) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 13252) |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2022-10-03 |