| NPI | 1750114369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P23546) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305217431) |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2025-09-18 |