| NPI | 1477308856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P23025) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT41283) |
| Enumeration Date | 2024-04-19 |
| Last Update Date | 2025-09-02 |