| NPI | 1881234086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH9715) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL 1-1051) |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2025-07-25 |