| NPI | 1720494404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305213355) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT011518) |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2026-01-20 |