| NPI | 1376709436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305207735) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PTO19885) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2025-11-20 |