| NPI | 1659819126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P16870) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 009296) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2025-04-30 |