| NPI | 1871300350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP041062T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0014992) |
| Enumeration Date | 2024-12-17 |
| Last Update Date | 2025-02-10 |