| NPI | 1669184149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 14602) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 29240) |
| Enumeration Date | 2022-12-16 |
| Last Update Date | 2024-08-27 |