| NPI | 1720930431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP053217T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 13244) |
| Enumeration Date | 2026-02-13 |
| Last Update Date | 2026-02-24 |