| NPI | 1952776585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT7874) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P20610) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2025-01-28 |