| NPI | 1356176630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12562) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P23509) |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2024-10-22 |