| NPI | 1073238424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 16862) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 16118-24) |
| Enumeration Date | 2022-10-07 |
| Last Update Date | 2024-08-01 |