| NPI | 1669063046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12438) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305215453) |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2025-05-28 |