| NPI | 1811405855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12457) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P20069) |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2024-10-24 |