| NPI | 1356075659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P21659) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT31742) |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2025-07-24 |