| NPI | 1740846328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PT015655) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT34564) |
| Enumeration Date | 2019-05-19 |
| Last Update Date | 2021-11-17 |