| NPI | 1255087268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305217249) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 28840) |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2025-09-15 |