| NPI | 1023680303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 17425-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT029533) |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2025-08-21 |