| NPI | 1427767532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P24567) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT39604) |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2025-12-19 |