| NPI | 1558057133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH10482) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT37729) |
| 225100000X Physical Therapist (Licence: MS PT7445) | |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2023-04-17 |