| NPI | 1427706605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT5619) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-07074) |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2025-04-08 |