| NPI | 1508504671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P21245) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 14408) |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2024-03-05 |