| NPI | 1669921474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P10852) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305210680) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2026-03-09 |