| NPI | 1831963578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P22702) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 12778) |
| 208100000X Physical Medicine & Rehabilitation (Licence: NY 050983-01) | |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2025-11-03 |