| NPI | 1962402701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12617) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305004983) |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2025-03-03 |