| NPI | 1437744067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305217263) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1343272) |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2025-11-17 |