| NPI | 1801598206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD CP039883T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA 015435) |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2025-02-14 |