| NPI | 1649048307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV 004693) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID PT-9218) |
| 225100000X Physical Therapist (Licence: NC P20798) | |
| Enumeration Date | 2023-12-12 |
| Last Update Date | 2024-08-21 |