| NPI | 1588203277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P21431) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 12635) |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2025-07-28 |