| NPI | 1215708763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12118) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P23633) |
| Enumeration Date | 2024-01-12 |
| Last Update Date | 2025-06-18 |