| NPI | 1215509831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P23318) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 28929) |
| 225100000X Physical Therapist (Licence: PA PT029514) | |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2025-01-10 |