| NPI | 1699473470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 29302) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic |
| 2251N0400X Physical Therapist Neurology | |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2023-03-03 |