| NPI | 1508737172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P24585) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 054782) |
| Enumeration Date | 2025-09-16 |
| Last Update Date | 2026-01-09 |