| NPI | 1689052045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 16014) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 038839) |
| 225100000X Physical Therapist (Licence: SC 9986) | |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2021-01-21 |