| NPI | 1265128250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SD 2358) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 110662) |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2023-04-13 |