| NPI | 1558198663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12578) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 23543) |
| Enumeration Date | 2024-09-14 |
| Last Update Date | 2025-08-08 |