| NPI | 1740728773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ CP043593T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC p16904) |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2025-05-14 |