| NPI | 1376123976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM PT-2025-0194) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01996900) |
| 225100000X Physical Therapist (Licence: MD 28350) | |
| 225100000X Physical Therapist (Licence: GA CP035459T) | |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2025-12-31 |