| NPI | 1700247483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 009093) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT032246) |
| 225100000X Physical Therapist (Licence: PR 4525) | |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2026-02-04 |