| NPI | 1891412391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NC P16920) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P16920) |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2024-02-28 |