| NPI | 1942828330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P20964) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 045349) |
| Enumeration Date | 2020-07-11 |
| Last Update Date | 2025-06-02 |