| NPI | 1629818174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 7110) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 7111) |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2024-06-24 |