| NPI | 1508223736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P17016) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 8033) |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2024-02-28 |