| NPI | 1568067700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NC P20825) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 046611) |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2025-05-13 |