| NPI | 1588231518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P23149) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 045188) |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2024-07-30 |