| NPI | 1326856014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 65572) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 12593) |
| Enumeration Date | 2024-12-26 |
| Last Update Date | 2025-01-03 |