| NPI | 1740048958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC CP042616T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 15679) |
| Enumeration Date | 2024-03-12 |
| Last Update Date | 2025-03-20 |