| NPI | 1003694944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT30322) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P23464) |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2024-09-24 |