| NPI | 1265133367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC 2000032) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD A5868) |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2024-01-02 |