| NPI | 1902338676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P16891) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0014665) |
| 225100000X Physical Therapist (Licence: MS CP00391T) | |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2023-10-03 |