| NPI | 1497364426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 28131) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P19619) |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2021-01-04 |