| NPI | 1962072488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P-CP011513T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 6012) |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2022-05-20 |