| NPI | 1922964345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT44201) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PT9469) |
| Enumeration Date | 2025-12-30 |
| Last Update Date | 2025-12-30 |