| NPI | 1427505718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12004) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT31919) |
| Enumeration Date | 2016-09-05 |
| Last Update Date | 2025-01-27 |