| NPI | 1659997799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P19517) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN CP002971T) |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2023-07-07 |