| NPI | 1699387068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P20758) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT028832) |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2025-01-06 |