| NPI | 1699453068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 16315-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA CP022293T) |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2023-07-06 |