| NPI | 1467386243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD CP058567T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 17827-24) |
| Enumeration Date | 2026-06-09 |
| Last Update Date | 2026-07-15 |