| NPI | 1891400628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 14745) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 304935) |
| 225100000X Physical Therapist (Licence: FL PT42663) | |
| 225100000X Physical Therapist (Licence: SC CP043861T) | |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2025-11-20 |