| NPI | 1184504169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT7510) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 13079) |
| 225100000X Physical Therapist (Licence: WI 17651-24) | |
| 225100000X Physical Therapist (Licence: IL 070029474) | |
| 225100000X Physical Therapist (Licence: CO 21075) | |
| Enumeration Date | 2025-09-02 |
| Last Update Date | 2026-08-04 |