| NPI | 1255007829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P23090) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 25723) |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2024-06-24 |