| NPI | 1730632555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P24080) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305210453) |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2025-06-24 |