| NPI | 1396527297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 29919) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT031380) |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2024-08-30 |