| NPI | 1992320162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH11107) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS PT6791) |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2022-11-22 |