| NPI | 1619849114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12764) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT16937) |
| Enumeration Date | 2025-09-23 |
| Last Update Date | 2025-10-10 |