| NPI | 1710448568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC CP048778T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 12168) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2025-11-17 |