| NPI | 1194418038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305216349) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT031254) |
| Enumeration Date | 2023-05-26 |
| Last Update Date | 2026-03-12 |