| NPI | 1831516400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P14800) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 33107) |
| 225100000X Physical Therapist (Licence: CO 11356) | |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2022-06-03 |