| NPI | 1720561731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P18281) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 12067) |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2025-05-27 |