| NPI | 1417423591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 5389) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC CP025173T) |
| 225100000X Physical Therapist (Licence: VA CP027412T) | |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2025-10-01 |