| NPI | 1710653118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 12232R) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT37537) |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2025-11-11 |