| NPI | 1487580791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP058666) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2026021213) |
| Enumeration Date | 2026-06-23 |
| Last Update Date | 2026-07-20 |