| NPI | 1972092039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA 026768) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA 003902) |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2023-01-30 |