| NPI | 1922884550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P23243) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 1653824) |
| Enumeration Date | 2023-09-08 |
| Last Update Date | 2024-08-02 |