| NPI | 1992444046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 2623) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MT PTP-PT-LIC-24338) |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2022-12-07 |