| NPI | 1912552282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12196) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305213031) |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2024-02-06 |