| NPI | 1164248423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 30590) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305217678) |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2026-05-17 |