| NPI | 1467189357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP051288T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P21503) |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2025-12-29 |