| NPI | 1134006505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 6828) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 14237810-2401) |
| Enumeration Date | 2025-08-18 |
| Last Update Date | 2025-09-16 |