| NPI | 1235069865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP057978T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH12670) |
| Enumeration Date | 2026-05-25 |
| Last Update Date | 2026-07-23 |