| NPI | 1073239570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 29933) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SD 2587) |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2025-02-17 |