| NPI | 1578295911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 048636) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 61330682) |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2024-08-22 |