| NPI | 1144155839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 139329) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID 1481210) |
| 225100000X Physical Therapist (Licence: CO 0021408) | |
| Enumeration Date | 2026-06-15 |
| Last Update Date | 2026-07-09 |