| NPI | 1578286571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 092166) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 007490) |
| 225100000X Physical Therapist (Licence: IL 070026629) | |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2022-09-23 |