| NPI | 1871339804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: AL PTH11875) |
| 2251S0007X Physical Therapist, Sports (Licence: AL PTH11875) | |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2024-07-31 |