| NPI | 1033550108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12781) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 24363) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2025-05-08 |