| NPI | 1356868194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05015461A) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| 225100000X Physical Therapist | |
| 225100000X Physical Therapist (Licence: IL 070026790) | |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2025-09-30 |