| NPI | 1093428070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH12217) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: FL 39068) |
| Enumeration Date | 2023-01-04 |
| Last Update Date | 2025-05-21 |