| NPI | 1023463049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 27113) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AK 187682) |
| 225100000X Physical Therapist (Licence: MD 25806) | |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2025-12-29 |