| NPI | 1477282390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P21358) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 12466) |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2026-01-14 |