| 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: SC CP043861T) | |
| 225100000X Physical Therapist (Licence: FL PT42663) | |
| Enumeration Date | 2023-01-17 | 
| Last Update Date | 2025-05-22 |