| NPI | 1225878788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK CP051485T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA02253100) |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2025-12-09 |