| NPI | 1528763653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD CP051344T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 12323) |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2025-12-24 |