| NPI | 1386240232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 29407) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT029028) |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2025-06-18 |