| NPI | 1831882406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 30047) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MD A4283) |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2024-08-02 |