| NPI | 1417843251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SD 6144) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA CP044663T) |
| Enumeration Date | 2025-06-17 |
| Last Update Date | 2025-06-17 |