| NPI | 1447862693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305213816) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P19827) |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2026-09-10 |