| NPI | 1275510620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305204756) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 7288) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2025-07-18 |