| NPI | 1720957087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH12534) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC CP050844T) |
| Enumeration Date | 2025-11-04 |
| Last Update Date | 2025-11-13 |