| NPI | 1760974976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P17919) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT026854) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2019-12-06 |