| NPI | 1376917112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P16247) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT024880) |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2025-10-07 |