| NPI | 1902605504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P23912) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 30336) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2025-03-07 |
| Last Update Date | 2025-06-09 |