| NPI | 1699111393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 6424) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MT 2308) |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2025-04-28 |