| NPI | 1073357117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12409) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH11859) |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2025-05-01 |