| NPI | 1255891776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 10279) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT34459) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2024-03-12 |