| NPI | 1588322259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH10636) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS PT7243) |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2021-11-30 |