| NPI | 1396332045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP038482T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC CP044162T) |
| Enumeration Date | 2020-12-29 |
| Last Update Date | 2026-04-17 |