| NPI | 1831850262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 11124) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 0730781) |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2022-10-04 |