| NPI | 1598439978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CPT051821T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA02132100) |
| 225100000X Physical Therapist (Licence: PA PT029683) | |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2026-01-21 |