| NPI | 1750261038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP054224T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT017986) |
| Enumeration Date | 2025-09-05 |
| Last Update Date | 2026-04-28 |