| NPI | 1386127496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 34102) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: VA CP049827T) | |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2025-10-13 |