| NPI | 1386254944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P19745) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 1386254944) |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2025-11-28 |