| NPI | 1083912240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC CP060877T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 005415) |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2026-08-17 |