| NPI | 1356462527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 040.0002722) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VT 040-0002722) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2026-04-02 |