| NPI | 1518664895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR CP055474T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ LPT-23750) |
| Enumeration Date | 2023-02-08 |
| Last Update Date | 2026-04-20 |