| NPI | 1962397687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P10974) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NC 10974) |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2025-07-24 |