| NPI | 1407467558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 10297) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC CP051383T) |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2025-12-18 |