| NPI | 1861015026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 3258) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 096767) |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2025-02-25 |