| NPI | 1740013937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC CP033394T) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: NC P23473) |
| 2251S0007X Physical Therapist, Sports (Licence: NC P23473) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NC P23473) | |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2024-11-25 |