| NPI | 1659966059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA CP015382T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS PT7057) |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2022-10-14 |