| NPI | 1588140206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P18689) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305211957) |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2025-01-15 |