| NPI | 1689345167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 187471) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 13125) |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2024-07-23 |