| NPI | 1215707088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH12032) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA PTL28184) |
| 225100000X Physical Therapist | |
| 225100000X Physical Therapist (Licence: MD 30018) | |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2025-02-12 |