| NPI | 1841640752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 11036) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305210322) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2024-01-18 |