| NPI | 1689155939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P24420) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT35836) |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2025-10-02 |