| NPI | 1730704602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID 7251) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 4303) |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2021-02-03 |