| NPI | 1952923419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID 7042) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 30418) |
| 225100000X Physical Therapist (Licence: MT 17043) | |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2021-09-06 |