| NPI | 1619604733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 29087) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA CP044711T) |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2025-07-17 |