| NPI | 1285245183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 248018) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT028698) |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2026-02-10 |