| NPI | 1881286300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P23766) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 046226) |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2025-03-26 |