| NPI | 1699587048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 131028) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-07868) |
| Enumeration Date | 2025-01-23 |
| Last Update Date | 2025-06-27 |