| NPI | 1558956243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ CP044993T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305214146) |
| 225100000X Physical Therapist (Licence: DC PT872756) | |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2025-06-24 |