| NPI | 1336876457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P21458) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NC P21458) |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2025-08-15 |