| NPI | 1104554385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 6957) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305215223) |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2026-03-16 |