| NPI | 1780364885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P22408) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC CP024191T) |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2025-09-04 |