| NPI | 1841033974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP052544T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV 004696) |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2026-01-15 |