| NPI | 1316300221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305214269) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 6480) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2026-03-24 |