| NPI | 1992359426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P20036) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT34741) |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2021-01-03 |