| NPI | 1831818954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 11520) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P21483) |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2022-08-23 |