| NPI | 1972801876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC CP034972T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 05127) |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2025-01-15 |