| NPI | 1780422170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 124118) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC CP032895T) |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-09-03 |