| NPI | 1184106999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 11955) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 309989) |
| 225100000X Physical Therapist (Licence: CT 15309) | |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2026-06-12 |