| NPI | 1053238741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305217775) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC CP059161T) |
| Enumeration Date | 2026-07-02 |
| Last Update Date | 2026-07-02 |