| NPI | 1720521370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 9213) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P18101) |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2020-02-26 |