| NPI | 1316761976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0015132) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 17480) |
| 225100000X Physical Therapist (Licence: PA PT032844) | |
| 225100000X Physical Therapist (Licence: VA 2305216848) | |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2026-07-10 |