| NPI | 1639826563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT031687) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT200001347) |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2023-08-30 |