| NPI | 1386076818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 8536) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC CP030750T) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2025-12-08 |