| NPI | 1134595689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 7907) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC CP044488T) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2025-05-22 |