| NPI | 1538966510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 14095) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC MP11) |
| Enumeration Date | 2025-02-27 |
| Last Update Date | 2025-03-03 |