| NPI | 1639888704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P22745) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 5079) |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2023-11-10 |