| NPI | 1225461346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 8903) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT022905) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2025-02-14 |