| NPI | 1740834811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P23643) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 3644) |
| Enumeration Date | 2019-07-28 |
| Last Update Date | 2024-10-15 |