| NPI | 1952141434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P24160) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 012321) |
| 225100000X Physical Therapist (Licence: PA PT032366) | |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2025-06-19 |