| NPI | 1962207969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 30236) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P24810) |
| Enumeration Date | 2025-02-14 |
| Last Update Date | 2026-03-25 |