| NPI | 1750087557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WY 2239) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 4755) |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2025-03-31 |