| NPI | 1295523140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CPO25249T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA02200500) |
| Enumeration Date | 2025-04-29 |
| Last Update Date | 2026-06-04 |