| NPI | 1912650284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 11139) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P21685) |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2025-03-26 |