| NPI | 1750074787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH11481) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL 2-1220) |
| Enumeration Date | 2023-05-26 |
| Last Update Date | 2023-08-02 |