| NPI | 1932684370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 30604) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 25881) |
| 225100000X Physical Therapist (Licence: NC P23756) | |
| 225100000X Physical Therapist (Licence: WA PT61552392) | |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2025-09-11 |