| NPI | 1477171262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC PT.10653) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P19501) |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2022-05-20 |