| NPI | 1700321577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P18339) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305210105) |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2021-12-29 |