| NPI | 1558886937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P23790) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305211360) |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2025-04-08 |