| NPI | 1669248761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305217548) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0019505) |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2026-01-09 |