| NPI | 1164131835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P23921) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA02141600) |
| 225100000X Physical Therapist (Licence: NC CP039431T) | |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2025-02-27 |