| NPI | 1790265940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 9621) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P16862) |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2025-02-11 |