| NPI | 1518270941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ CP026174T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 11384-024) |
| 225100000X Physical Therapist (Licence: MO 2022020625) | |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2025-08-18 |