| NPI | 1952072050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 65004) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P20656) |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2023-10-27 |