| NPI | 1467094177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT CP044911T) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: VA 2305212535) |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2025-07-13 |