| NPI | 1548536170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 7664499-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA CP046852T) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2025-08-12 |