| NPI | 1558917450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PT9532) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 16009) |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2024-07-25 |