| NPI | 1336751593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P23952) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 10343) |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2025-04-22 |