| NPI | 1982491213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH12454) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT42093) |
| Enumeration Date | 2025-04-21 |
| Last Update Date | 2025-10-15 |