| NPI | 1508643206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics |
| 2251N0400X Physical Therapist Neurology | |
| 2251P0200X Physical Therapist Pediatrics | |
| Enumeration Date | 2023-09-14 |
| Last Update Date | 2024-08-07 |