| NPI | 1649122953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MD 30767) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: MD 30767) |
| Enumeration Date | 2026-02-10 |
| Last Update Date | 2026-02-10 |