| NPI | 1447069877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 17028) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: WI 17028-24) |
| Enumeration Date | 2024-12-31 |
| Last Update Date | 2025-02-17 |