| NPI | 1649077520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC CP042352T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P23838) |
| Enumeration Date | 2025-02-27 |
| Last Update Date | 2025-04-02 |