| NPI | 1407693195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 13362) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 29958) |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2026-08-20 |