| NPI | 1861338295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 17786) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WI 1778624) |
| Enumeration Date | 2026-04-27 |
| Last Update Date | 2026-07-06 |