| NPI | 1730794660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT6983) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT6983) |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2021-11-05 |