| NPI | 1972013936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P23054) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305211575) |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2024-05-28 |