| NPI | 1821881541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP054270T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 4899) |
| Enumeration Date | 2025-05-26 |
| Last Update Date | 2026-05-18 |