| NPI | 1902926215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P11049) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC .4427) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2025-01-27 |