| NPI | 1881424943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 126224) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 4635) |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2024-08-26 |