| NPI | 1518592450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT4432) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT30953) |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2023-11-25 |