| NPI | 1689429599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P24487) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 30053) |
| Enumeration Date | 2024-04-23 |
| Last Update Date | 2025-11-05 |