| NPI | 1073374344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 15371) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 43408) |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2025-09-22 |