| NPI | 1134010069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 43078) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0019120) |
| Enumeration Date | 2025-07-10 |
| Last Update Date | 2025-07-10 |