| NPI | 1124953914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 13344) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: SC 13344) |
| Enumeration Date | 2026-06-15 |
| Last Update Date | 2026-06-15 |