| NPI | 1245987957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P21629) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC PT.11808PT) |
| 225100000X Physical Therapist (Licence: PA PT030163) | |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2023-07-13 |