| NPI | 1851174221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 4553) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2023005154) |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2023-08-17 |