| NPI | 1629782594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 11715) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P21883) |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2023-01-30 |