| NPI | 1063151298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 17290) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 38786) |
| Enumeration Date | 2022-06-04 |
| Last Update Date | 2026-06-16 |