| NPI | 1144101494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P24386) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 126824) |
| Enumeration Date | 2025-09-11 |
| Last Update Date | 2025-11-18 |