| NPI | 1942770342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 27579) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 8694) |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2020-11-17 |