| NPI | 1144709460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC PT20724) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT026970) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2025-05-01 |