| NPI | 1497493340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT5443) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI PT-5443-0) |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2022-07-15 |