| NPI | 1427663657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12680) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 105170) |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2025-01-15 |