| NPI | 1780392043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA CP037193T) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2024-12-19 |