| NPI | 1770061848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P18158) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 10454) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2024-10-16 |