| NPI | 1790480986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P19748) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT40049) |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2025-02-14 |