| NPI | 1730644659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 19432) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 3894) |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2024-02-28 |