| NPI | 1881185650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12641) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: MO 2018025444) | |
| 225100000X Physical Therapist (Licence: IL 070023667) | |
| Enumeration Date | 2018-05-28 |
| Last Update Date | 2025-05-23 |