| NPI | 1790456333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 10938) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P20793) |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2025-05-21 |