| NPI | 1811759707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 12199) |
| 225100000X Physical Therapist (Licence: MT 27320) | |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2024-11-25 |