| NPI | 1528150885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P24216) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 1672) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NH 1672) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2026-03-02 |