| NPI | 1417673120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP051259T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 034206) |
| Enumeration Date | 2022-10-13 |
| Last Update Date | 2026-02-12 |