| NPI | 1073408035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT PTP-PT-LIC-32566) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL20563) |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2025-06-10 |