| NPI | 1780272401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 10796) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS CP049414T) |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2026-03-09 |