| NPI | 1720861966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT44221) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA02196100) |
| 225100000X Physical Therapist (Licence: NH CP048807T) | |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2025-12-29 |