| NPI | 1881580850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: LA 12017) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: LA 12017) |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2025-06-16 |