| NPI | 1841048139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12727) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P23148) |
| Enumeration Date | 2024-05-10 |
| Last Update Date | 2025-02-10 |