| NPI | 1750779187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 8118) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 15382) |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2024-01-29 |