| NPI | 1396125613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 7761) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P19989) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2025-04-10 |