| NPI | 1750808283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P19170) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305204678) |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2019-10-03 |