| NPI | 1265277602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2024024855) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR CP046907T) |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2025-07-28 |