| NPI | 1528880358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P24313) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT032666) |
| Enumeration Date | 2024-10-31 |
| Last Update Date | 2025-09-26 |