| NPI | 1912477266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P-CP003164T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 09746) |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2022-02-09 |