| NPI | 1164311072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 1721124) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD CP045148T) |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2025-07-17 |