| NPI | 1962385674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC CP055227T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR PT5660) |
| 225100000X Physical Therapist (Licence: TX CP051800T) | |
| Enumeration Date | 2025-07-29 |
| Last Update Date | 2026-04-28 |