| NPI | 1891278198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 9090) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0015396) |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2026-01-27 |