| NPI | 1902625379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12651) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 39054) |
| Enumeration Date | 2024-10-03 |
| Last Update Date | 2025-06-30 |