| NPI | 1679381347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO CP043274T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT7009) |
| 225100000X Physical Therapist (Licence: NC P21776) | |
| Enumeration Date | 2024-12-26 |
| Last Update Date | 2025-08-12 |