| NPI | 1326633975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305214850) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 28154) |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2026-07-01 |