| NPI | 1669184149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP055525T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 29240) |
| 225100000X Physical Therapist (Licence: CT 14602) | |
| 225100000X Physical Therapist (Licence: IL 070.029235) | |
| Enumeration Date | 2022-12-16 |
| Last Update Date | 2026-04-28 |