| NPI | 1073001046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP026266T) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: IN 05012152A) |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2025-06-10 |