| NPI | 1689924680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 10064) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT38966) |
| 225100000X Physical Therapist (Licence: IL 070.018745) | |
| 225100000X Physical Therapist (Licence: CA 297988) | |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2026-05-04 |