| NPI | 1639608292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P21015) |
| Additional Taxonomies | 2083S0010X Preventive Medicine, Sports Medicine (Licence: SC 2000021399) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2025-03-31 |