| NPI | 1942046313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CPO60035T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 4686) |
| Enumeration Date | 2024-07-05 |
| Last Update Date | 2026-07-31 |