| NPI | 1386501195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P24606) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT43994) |
| Enumeration Date | 2026-01-06 |
| Last Update Date | 2026-05-14 |