| NPI | 1770254914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 11667) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 37621) |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2024-11-12 |