| NPI | 1295461044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305215274) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA CP044038T) |
| 225100000X Physical Therapist (Licence: NJ 40QA02095100) | |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2025-12-19 |