| NPI | 1033175070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305002463) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 10622) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2025-06-04 |