| NPI | 1184458119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P23415) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 12595) |
| Enumeration Date | 2024-08-30 |
| Last Update Date | 2024-10-04 |