| NPI | 1033775473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 11235) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH9498) |
| 225100000X Physical Therapist (Licence: AL 1-0986) | |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2024-02-28 |