| NPI | 1558884999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 07208R) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT032801) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2025-03-18 |