| NPI | 1760347116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR CP055276T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT018138) |
| 225100000X Physical Therapist (Licence: NC CP051806T) | |
| Enumeration Date | 2025-12-18 |
| Last Update Date | 2026-04-13 |