| NPI | 1528798337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12803) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 306389) |
| 225100000X Physical Therapist (Licence: CO PTL20301) | |
| 225100000X Physical Therapist (Licence: CT 13569) | |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2025-04-02 |