| NPI | 1891515565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 11620) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: LA 11620) |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2024-10-16 |