| NPI | 1992258297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P18730) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 12411) |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2023-09-11 |