| NPI | 1730748310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC CP035629T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P20266) |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2024-11-11 |