| NPI | 1457023509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305216992) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI PT6300) |
| 225100000X Physical Therapist (Licence: FL PT41109) | |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2026-08-03 |