| NPI | 1770219537 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist | 
| Additional Taxonomies | 225100000X Physical Therapist | 
| 225100000X Physical Therapist (Licence: WI 16030-24) | |
| Enumeration Date | 2022-07-25 | 
| Last Update Date | 2025-04-30 |