| NPI | 1790243624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH11091) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC CP051133T) |
| 225100000X Physical Therapist (Licence: LA CP051242T) | |
| 225100000X Physical Therapist (Licence: GA CP051239T) | |
| 225100000X Physical Therapist (Licence: AR CP051182T) | |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2025-11-24 |