| NPI | 1710362371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 30394) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P15587) |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2025-10-30 |