| NPI | 1093845711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P23026) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT32489) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2025-03-27 |