| NPI | 1861948945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WY 1662) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME 5592) |
| 225100000X Physical Therapist (Licence: WY 1658) | |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2023-04-18 |