| NPI | 1316356363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 11906) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VT 0400104672) |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2025-01-14 |