| NPI | 1568949154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 9994) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 11932) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2020-10-30 |