| NPI | 1073270708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 10238) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305215911) |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2023-11-01 |