| NPI | 1437215993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN PT0000005797) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305831246) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2025-07-16 |