| NPI | 1285395897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305217032) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1356189) |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2025-05-16 |