| NPI | 1619531829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 8939) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 5064) |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2023-01-06 |