| NPI | 1417838731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 3014) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC CP049325T) |
| Enumeration Date | 2025-09-11 |
| Last Update Date | 2025-09-11 |