| NPI | 1669281697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID 3371844) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 14214129-2401) |
| Enumeration Date | 2025-01-03 |
| Last Update Date | 2025-04-21 |