| NPI | 1669190369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P23529) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT030582) |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2025-05-28 |