| NPI | 1407529852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 4429) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: WI 15506-24) | |
| Enumeration Date | 2021-07-30 |
| Last Update Date | 2023-08-25 |