| NPI | 1225811011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP054718T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA PTL88881) |
| 225100000X Physical Therapist (Licence: FL PT44199) | |
| 225100000X Physical Therapist (Licence: OR 64974) | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2026-04-15 |