| NPI | 1538793518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P19421) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305213437) |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2021-01-04 |