| NPI | 1790673937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT033192) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 13876) |
| Enumeration Date | 2025-06-26 |
| Last Update Date | 2025-11-03 |