| NPI | 1083891295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SD 1445) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 004170) |
| 225100000X Physical Therapist (Licence: IL 070-016452) | |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2026-01-06 |