| NPI | 1871370221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12080) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P22631) |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-09-15 |