| NPI | 1982467197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 040.0134689) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID 9071646) |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2025-03-10 |