| NPI | 1972058998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 8620) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P16596) |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2025-07-15 |