| NPI | 1780411710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P24658) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT42104) |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2026-02-23 |