| NPI | 1538713300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 5178) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 63376) |
| 225100000X Physical Therapist (Licence: HI PT5178) | |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2021-07-14 |