| NPI | 1699318923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT PTP-PT-LIC-17268) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MT 17268) |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2023-06-24 |