| NPI | 1710766886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: NC P21480) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV CP057921T) |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2026-06-03 |