| NPI | 1467338830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 15057) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 25387) |
| 225100000X Physical Therapist (Licence: NC P24614) | |
| Enumeration Date | 2025-08-12 |
| Last Update Date | 2026-01-20 |