| NPI | 1417792433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P23782) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 4685) |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2025-02-03 |