| NPI | 1013312354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 7965) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 15267) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2026-07-23 |