| NPI | 1952193906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305214091) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ CP044532T) |
| Enumeration Date | 2025-05-17 |
| Last Update Date | 2025-05-17 |