| NPI | 1588302798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P22403) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC CP018264T) |
| 225100000X Physical Therapist (Licence: NC P-CP014454T) | |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2023-10-10 |