| NPI | 1730538307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 8206) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC 872097) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2023-09-18 |