| NPI | 1679356950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP049084T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AK 232752) |
| 225100000X Physical Therapist (Licence: ND 2684) | |
| Enumeration Date | 2023-08-18 |
| Last Update Date | 2025-10-09 |