| NPI | 1811852080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P24554) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: AZ CP052090T) |
| Enumeration Date | 2025-12-19 |
| Last Update Date | 2026-01-21 |