| NPI | 1912753773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P23644) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 11683) |
| 225100000X Physical Therapist (Licence: TN CP059181T) | |
| 225100000X Physical Therapist (Licence: TN 17518) | |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2026-07-07 |