| NPI | 1568346252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 214300) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 6009) |
| Enumeration Date | 2025-08-05 |
| Last Update Date | 2025-08-05 |