| NPI | 1720553308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P18079) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 35845) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: FL 35845) | |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2024-01-18 |