| NPI | 1568177384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305216996) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 28844) |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2025-06-13 |