| NPI | 1598626038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 30683) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC CP051161T) |
| Enumeration Date | 2025-11-24 |
| Last Update Date | 2025-11-25 |