| NPI | 1992444046 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ CP038614T) | 
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MT PTP-PT-LIC-24338) | 
| 225100000X Physical Therapist (Licence: ND 2623) | |
| Enumeration Date | 2022-05-27 | 
| Last Update Date | 2025-01-08 |