| NPI | 1619560059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 106257) |
| Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics |
| 2251S0007X Physical Therapist Sports | |
| 2251X0800X Physical Therapist Orthopedic | |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2025-07-07 |