| NPI | 1457192726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE CP056476T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC CP053010T) |
| 225100000X Physical Therapist (Licence: PA PT032569) | |
| 225100000X Physical Therapist (Licence: NC CP048863T) | |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2026-05-29 |