| NPI | 1629837869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 013512) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CT 013512) |
| 225100000X Physical Therapist (Licence: CT 013513) | |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-03-18 |