| NPI | 1811753031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P23275) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 050990) |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-06-25 |