| NPI | 1376220020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P24437) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 30184) |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2025-10-17 |