| NPI | 1003630450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC CP042314T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P23855) |
| Enumeration Date | 2024-11-12 |
| Last Update Date | 2025-02-17 |