| NPI | 1346993201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP055158T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 28794) |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2026-04-08 |