| NPI | 1922759224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2020025122) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH10644) |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2025-11-10 |