| NPI | 1487213195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 65977) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA CP044998) |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2025-11-14 |