| NPI | 1144033911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV CP043886T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA CP042114T) |
| 225100000X Physical Therapist (Licence: NC P23773) | |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-04-22 |