| NPI | 1205123429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NC P22423) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1207575) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2025-07-01 |