| NPI | 1851055743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT5247) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT37805) |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2025-10-17 |