| NPI | 1942051750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 307415) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: KY 009017) | |
| Enumeration Date | 2024-03-29 |
| Last Update Date | 2024-12-30 |