| NPI | 1023980216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 30620) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT033608) |
| Enumeration Date | 2025-09-18 |
| Last Update Date | 2025-12-04 |