| NPI | 1245952944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305217545) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT016266) |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2026-05-11 |