| NPI | 1538922505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12268) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P22904) |
| Enumeration Date | 2024-02-02 |
| Last Update Date | 2024-03-01 |