| NPI | 1457965519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP017886T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VI 2305213886) |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2024-01-07 |