| NPI | 1184182750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305212607) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT39871) |
| Enumeration Date | 2019-03-03 |
| Last Update Date | 2025-05-29 |