| NPI | 1780304865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P23365) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 29868) |
| 225100000X Physical Therapist (Licence: MI 5501302107) | |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2025-01-13 |