| NPI | 1265454219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 3168) |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: SC 3168) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2025-08-29 |