| NPI | 1942754981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-7855) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT34500) |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2023-08-29 |