| NPI | 1770219537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: WI 16030-24) | |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2025-04-30 |