| NPI | 1225912348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 13025) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS 5982) |
| 225100000X Physical Therapist (Licence: SC CP046960T) | |
| Enumeration Date | 2025-08-01 |
| Last Update Date | 2025-08-15 |