| NPI | 1699442731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 4321) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 10971) |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2022-04-11 |