| NPI | 1598245565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT6533) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS 6533) |
| Enumeration Date | 2018-08-18 |
| Last Update Date | 2022-01-04 |