| NPI | 1427665421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305215181) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT028780) |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2025-11-25 |