| NPI | 1497436620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 29524) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: SC 12648) | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2025-05-21 |