| NPI | 1114803160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12993) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC CP054432T) |
| Enumeration Date | 2025-08-14 |
| Last Update Date | 2026-03-20 |