| NPI | 1164157699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P19651) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC P9519) |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2025-12-10 |