| NPI | 1104693605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 50737) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA 016895) |
| 225100000X Physical Therapist (Licence: CO 0019526) | |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2023-12-10 |