| NPI | 1780392043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR CP045072T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA CP037193T) |
| 225100000X Physical Therapist | |
| 225100000X Physical Therapist (Licence: AZ CP042633T) | |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2025-08-25 |