| NPI | 1538680434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P18743) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 8201) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2020-11-17 |