| NPI | 1538767231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID 7030) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID PT7030) |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2025-07-08 |