| NPI | 1619793338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH12105) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC CPO37146T) |
| Enumeration Date | 2024-11-26 |
| Last Update Date | 2024-11-26 |