| NPI | 1215400387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NC P20872) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 043629-1) |
| 225100000X Physical Therapist (Licence: IL 070-023626) | |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2025-05-20 |