| NPI | 1114754454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12946) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: GA CP042593T) | |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2025-08-04 |