| NPI | 1184188633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.029507) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR CP039916T) |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2025-09-21 |