| NPI | 1700570942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P22263) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT44712) |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2026-06-23 |