| NPI | 1245987957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 11808) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC CP041101T) |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2025-03-03 |