| NPI | 1619524030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC CP033501T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 10300) |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2024-12-02 |