| NPI | 1801756127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT45428) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 309226) |
| Enumeration Date | 2025-11-18 |
| Last Update Date | 2026-09-11 |